|
Lead capillary
|
$42.40 |
$42.40 |
$42.40 |
$62.40
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$1,074.31 |
$1,074.31 |
$1,074.31 |
$1,100.74
|
|
Lens iol ant bicnvx 24.0 multi
|
$436.85 |
$436.85 |
$436.85 |
$1,023.10
|
|
Lens iol ant chamb 10.5
|
$174.90 |
$174.90 |
$174.90 |
$216.48
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$0.19 |
$0.19 |
$0.19 |
$97.62
|
|
Levetiracetam therapeutic drug level
|
$47.70 |
$47.70 |
$47.70 |
$71.40
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$12.83 |
$12.83 |
$12.83 |
$64.88
|
|
Lidocaine therapeutic drug level
|
$116.60 |
$116.60 |
$116.60 |
$83.85
|
|
Lipase
|
$46.64 |
$46.64 |
$46.64 |
$83.20
|
|
Lipoprotein blood high res frac & quant
|
$81.09 |
$81.09 |
$81.09 |
$89.52
|
|
Lipoprotein blood quant
|
$85.33 |
$85.33 |
$85.33 |
$103.00
|
|
Lipoprotein direct measurement hdl
|
$29.15 |
$29.15 |
$29.15 |
$55.90
|
|
Lipoprotein direct measurement ldl
|
$30.74 |
$30.74 |
$30.74 |
$60.00
|
|
Lithium therapeutic drug level
|
$34.98 |
$34.98 |
$34.98 |
$67.60
|
|
Liver Function Test
|
$51.94 |
$51.94 |
$51.94 |
$110.50
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$5.91 |
$5.91 |
$5.91 |
$43.95
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$858.60 |
$858.60 |
$858.60 |
$1,921.40
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$850.12 |
$850.12 |
$850.12 |
$1,844.70
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$841.64 |
$841.64 |
$841.64 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,441.07 |
$1,441.07 |
$1,441.07 |
$2,995.20
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,387.01 |
$1,387.01 |
$1,387.01 |
$2,441.25
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,341.96 |
$1,341.96 |
$1,341.96 |
$2,060.27
|
|
Lower Back (Lumbar Spine) X-ray
|
$155.29 |
$155.29 |
$155.29 |
$344.00
|
|
Lumbar diskogram s&i
|
$1,023.96 |
$1,023.96 |
$1,023.96 |
$2,358.23
|
|
Lung function test (mbc/mvv)
|
$85.33 |
$85.33 |
$85.33 |
$182.91
|
|
Lung Function Test (Spirometry)
|
$365.17 |
$365.17 |
$365.17 |
$298.50
|
|
Lung perfusion imaging
|
$1,315.46 |
$1,315.46 |
$1,315.46 |
$1,100.39
|
|
Lutetium lu 177 vipivotide
|
$576.64 |
$576.64 |
$576.64 |
$332.80
|
|
Lymph vessel x-ray arm/leg
|
$894.64 |
$894.64 |
$894.64 |
$862.57
|
|
Lymph vessel x-ray arms/legs
|
$991.63 |
$991.63 |
$991.63 |
$2,229.24
|
|
Lymph vessel x-ray trunk
|
$2,313.45 |
$2,313.45 |
$2,313.45 |
$2,542.41
|
|
Lymph vessel x-ray trunk
|
$1,691.23 |
$1,691.23 |
$1,691.23 |
$3,380.00
|
|
Macroscopic exam arthropod
|
$30.74 |
$30.74 |
$30.74 |
$38.58
|
|
Macroscopic exam parasite
|
$36.04 |
$36.04 |
$36.04 |
$38.50
|
|
Magnesium
|
$39.75 |
$39.75 |
$39.75 |
$71.50
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$8.55 |
$8.55 |
$8.55 |
$69.30
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$52.47 |
$52.47 |
$52.47 |
$144.00
|
|
Manipulation chest wall initial demonstration/evaluation
|
$104.94 |
$104.94 |
$104.94 |
$178.75
|
|
Mannitol 12.5 gm/50 ml inj
|
$3.50 |
$3.50 |
$3.50 |
$28.48
|
|
Map tachycard site(s)
|
$3,842.50 |
$3,842.50 |
$3,842.50 |
$3,960.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$63.60 |
$63.60 |
$63.60 |
$66.50
|
|
Mayo aathr protein s free
|
$95.93 |
$95.93 |
$95.93 |
$130.00
|
|
Mayo activated protein c resistance assay
|
$85.86 |
$85.86 |
$85.86 |
$98.70
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$37.63 |
$37.63 |
$37.63 |
$101.44
|
|
Mayo alcohol definitive assay volatile screen
|
$73.14 |
$73.14 |
$73.14 |
$118.95
|
|
Mayo alkaline phosphatase isoenzyme
|
$51.94 |
$51.94 |
$51.94 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$73.14 |
$73.14 |
$73.14 |
$115.92
|
|
Mayo alpha 1 antitrypsin
|
$51.94 |
$51.94 |
$51.94 |
$87.60
|
|
Mayo amikacin trough therapeutic drug level
|
$58.30 |
$58.30 |
$58.30 |
$81.81
|
|
Mayo analysis gene calr common variants exon 9
|
$1,264.05 |
$1,264.05 |
$1,264.05 |
$472.31
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$258.11 |
$258.11 |
$258.11 |
$326.48
|
|
Mayo analysis gene smn1 dosage/deletion
|
$199.28 |
$199.28 |
$199.28 |
$328.80
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$1,931.32 |
$1,931.32 |
$1,931.32 |
$1,909.44
|
|
Mayo androstenedione
|
$94.87 |
$94.87 |
$94.87 |
$105.30
|
|
Mayo angiotensin 1 converting enzyme (ace) csf
|
$54.06 |
$54.06 |
$54.06 |
$72.46
|
|
Mayo antithrombin iii antigen
|
$66.78 |
$66.78 |
$66.78 |
$68.90
|
|
Mayo aspergillus fumigatus antibody
|
$32.33 |
$32.33 |
$32.33 |
$67.60
|
|
Mayo avwpr vw factor activity
|
$93.28 |
$93.28 |
$93.28 |
$157.95
|
|
Mayo barbiturates definitive assay confirmation urine
|
$54.59 |
$54.59 |
$54.59 |
$91.65
|
|
Mayo bart bartonella henselae antibody igg
|
$41.87 |
$41.87 |
$41.87 |
$45.75
|
|
Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative
|
$265.00 |
$265.00 |
$265.00 |
$353.60
|
|
Mayo blastomyces antibody immunodiffusion
|
$31.80 |
$31.80 |
$31.80 |
$57.85
|
|
Mayo bordetella pertussis antibody igg
|
$38.69 |
$38.69 |
$38.69 |
$59.15
|
|
Mayo c1 esterase inhibitor
|
$51.41 |
$51.41 |
$51.41 |
$88.35
|
|
Mayo cannabinoids natural definitive assay thc confirmation urine
|
$74.73 |
$74.73 |
$74.73 |
$96.85
|
|
Mayo carnitine total and free quantitative each specimen plasma
|
$71.55 |
$71.55 |
$71.55 |
$83.97
|
|
Mayo cd20b mononuclear cell antigen nos quantitative each
|
$66.25 |
$66.25 |
$66.25 |
$110.00
|
|
Mayo ceruloplasmin
|
$43.99 |
$43.99 |
$43.99 |
$65.08
|
|
Mayo chemiluminescent parathyroid related peptide
|
$73.67 |
$73.67 |
$73.67 |
$123.73
|
|
Mayo chikv chikungunya antibodies igg
|
$128.79 |
$128.79 |
$128.79 |
$102.40
|
|
Mayo chlap chlamydia pneumoniae antibody igg
|
$37.10 |
$37.10 |
$37.10 |
$54.40
|
|
Mayo chlap chlamydia pneumoniae antibody igm
|
$27.03 |
$27.03 |
$27.03 |
$50.88
|
|
Mayo chrcb tissue culture non-neoplastic disorders lymphocyte
|
$259.17 |
$259.17 |
$259.17 |
$353.99
|
|
Mayo chromium
|
$27.03 |
$27.03 |
$27.03 |
$70.85
|
|
Mayo cocaine definitive assay confirmation urine
|
$56.71 |
$56.71 |
$56.71 |
$89.53
|
|
Mayo coccidioides antibody
|
$40.81 |
$40.81 |
$40.81 |
$58.37
|
|
Mayo cocou cortisone urine
|
$259.17 |
$259.17 |
$259.17 |
$207.26
|
|
Mayo cortisol free
|
$61.48 |
$61.48 |
$61.48 |
$100.00
|
|
Mayo covid-19 antibody nucleocapsid total
|
$226.31 |
$226.31 |
$226.31 |
$72.60
|
|
Mayo coxiella brunetii (q fever) igg antibody
|
$34.45 |
$34.45 |
$34.45 |
$61.02
|
|
Mayo csmpu opiod/analogs definitive assay >=5 urine
|
$9.01 |
$9.01 |
$9.01 |
$72.14
|
|
Mayo cyanide
|
$64.66 |
$64.66 |
$64.66 |
$87.10
|
|
Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual
|
$472.23 |
$472.23 |
$472.23 |
$611.60
|
|
Mayo deoxyribonuclease antibody titer
|
$40.28 |
$40.28 |
$40.28 |
$56.80
|
|
Mayo dhea (dehydroepiandrosterone)
|
$82.68 |
$82.68 |
$82.68 |
$88.45
|
|
Mayo dihydrotestosterone
|
$128.26 |
$128.26 |
$128.26 |
$81.90
|
|
Mayo efpo chloride stool
|
$16.43 |
$16.43 |
$16.43 |
$44.20
|
|
Mayo estriol
|
$85.33 |
$85.33 |
$85.33 |
$98.70
|
|
Mayo estrone
|
$81.62 |
$81.62 |
$81.62 |
$84.70
|
|
Mayo factor ii
|
$66.25 |
$66.25 |
$66.25 |
$93.00
|
|
Mayo factor v
|
$109.71 |
$109.71 |
$109.71 |
$125.48
|
|
Mayo factor vii
|
$106.53 |
$106.53 |
$106.53 |
$141.00
|
|
Mayo factor viii vw factor antigen
|
$107.59 |
$107.59 |
$107.59 |
$110.50
|
|
Mayo factor viii vw factor multimetric analysis
|
$117.13 |
$117.13 |
$117.13 |
$125.00
|
|
Mayo factor viii vw factor ristocetin cofactor
|
$115.54 |
$115.54 |
$115.54 |
$129.60
|
|
Mayo factor x
|
$104.41 |
$104.41 |
$104.41 |
$139.50
|
|
Mayo factor xi
|
$116.60 |
$116.60 |
$116.60 |
$117.50
|
|
Mayo fat/lipids feces quantitative
|
$72.61 |
$72.61 |
$72.61 |
$71.71
|
|
Mayo fbl culture fungi blood
|
$72.61 |
$72.61 |
$72.61 |
$102.20
|
|
Mayo fdp/fsp paracoagulation
|
$28.62 |
$28.62 |
$28.62 |
$111.03
|
